Cutaneous fistula can have a dental etiology: A case report
Keywords:
fistula, odontogenic, pulp necrosis, space infection
Abstract
A patient presenting with a non-healing lesion over the left submandibular region was referred to department of maxillofacial surgery which was diagnosed as oro-cutaneous fistulous(OCF) tract of dental origin. These are rare and unusual presentations which are seen as a consequence of bacterial invasion causing pulpal necrosis of teeth due to various reasons, taking path of least resistance. They are most often misdiagnosed and mismanaged inspite of documented cases in literature. Medical professionals should be aware of dental etiology in non-healing cutaneous lesions. Early interdisciplinary referral and co-operation between medical and dental specialties will provide better patient care and rapid healing.
References
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11. Deng Q, Rammal M, Zhang H, He H, Huang F. Odontogenic cutaneous sinus tract - misdiagnosis and follow-up in a seven-year-old boy. IJOHS [Internet]. 2020 Nov. 23 [cited 2023 Jan. 7];1(2):84-90. Available from: https://journals.iium.edu.my/ktn/index.php/ijohs/article/view/28
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13. Bahl R, Sandhu S, Singh K, Sahai N, Gupta M. Odontogenic infections: Microbiology and management. Contemp Clin Dent. 2014 Jul;5(3):307-11. doi: 10.4103/0976-237X.137921. PMID: 25191064; PMCID: PMC4147804.
2. Tian J, Liang G, Qi W, Jiang H. Odontogenic cutaneous sinus tract associated with a mandibular second molar having a rare distolingual root: a case report. Head Face Med. 2015 Apr 17;11:13. doi: 10.1186/s13005-015-0072-y. PMID: 25885921; PMCID: PMC4414428
3. Haifa BR, Ines K, Walid L, Nabiha D (2017) Treatment of odontogenic cutaneous sinus tract misdiagnosed for 6 years. Dent Oral Craniofac Res 3: doi: 10.15761/DOCR.1000198.
4. Rabufetti A, Augello M, Husner A, Ghazal G, Leiggener CS. An uncommon cause for a non-healing cutaneous fistula in the parotid gland area - A case report. Ann Med Surg (Lond). 2018 Aug 18;33:36-39. doi: 10.1016/j.amsu.2018.08.007. PMID: 30167301; PMCID: PMC6107901.
5. Bai J, Ji AP, Huang MW. Submental cutaneous sinus tract of mandibular second molar origin. Int Endod J. 2014 Dec;47(12):1185-91. doi: 10.1111/iej.12266. Epub 2014 Mar 21. PMID: 24697494
6. Chen K, Liang Y, Xiong H. Diagnosis and Treatment of Odontogenic Cutaneous Sinus Tracts in an 11-Year-Old Boy: A Case Report. Medicine (Baltimore). 2016 May;95(20):e3662. doi: 10.1097/MD.0000000000003662. PMID: 27196471; PMCID: PMC4902413.
7. Florian Bast, Priyanka Chadha, James Shelley, Jonathan Collier (2017) Dental Sinus Infections- Why Are We Still Missing The Well Documented Diagnosis?. Journal Of Otolaryngology Advances -2(1): 17-24
8. Vermani M, Kalia V, Singh S, Garg S, Aggarwal S, Khurana R, Kalra G. Orocutaneous Fistula or Traumatic Infectious Skin Lesion: A Diagnostic Dilemma. Case Rep Dent. 2015;2015:353069. doi: 10.1155/2015/353069. Epub 2015 Nov 4. PMID: 26618009; PMCID: PMC4649082
9. Kani Bilginaylar, “Uncommon Odontogenic Orocutaneous Fistula Of The Jaw Treated With Platelet-Rich Fibrin”, Case Reports In Dentistry, Vol.2017, Article ID 7174217, 5 Pages, 2017. https://doi.org/10.1155/2017/7174217
10. Hidoussi E. Misdiagnosis of dental sinus tract. IP Indian J Conserv Endod 2020;5(2):83-87.
11. Deng Q, Rammal M, Zhang H, He H, Huang F. Odontogenic cutaneous sinus tract - misdiagnosis and follow-up in a seven-year-old boy. IJOHS [Internet]. 2020 Nov. 23 [cited 2023 Jan. 7];1(2):84-90. Available from: https://journals.iium.edu.my/ktn/index.php/ijohs/article/view/28
12. Topazian RG, Goldberg MH, Hupp JR (2002) Oral and maxillofacial infections, 4th edn. W.B.Saunders, Philadelphia
13. Bahl R, Sandhu S, Singh K, Sahai N, Gupta M. Odontogenic infections: Microbiology and management. Contemp Clin Dent. 2014 Jul;5(3):307-11. doi: 10.4103/0976-237X.137921. PMID: 25191064; PMCID: PMC4147804.
Published
2023-10-09
How to Cite
mohammed, sabreen. (2023). Cutaneous fistula can have a dental etiology: A case report . UNIVERSITY JOURNAL OF DENTAL SCIENCES, 9(4). https://doi.org/10.21276/ujds.2023.9.4.14
Section
Case Reports
